Abstract
<title>Abstract</title> <p>This community-based analytical cross-sectional study was conducted among 252 patients, 38.5% were aged 19–29 years and 80.2% were males. Most participants were urban residents (65.9%) and educated up to high school (42.8%). Nearly half of accidents occurred at speeds exceeding 60 km/h, and 39.7% reported non-use of safety measures; helmet use was reported by 66.7%. Multiple injuries were more common among patients from middle and lower-middle socioeconomic groups. Substance users showed higher proportions of fractures (30.7%) and multiple injuries (35.7%), whereas soft-tissue injuries predominated among non-users. Young males, particularly two-wheeler users from lower socioeconomic groups, are disproportionately affected by RTAs Inadequate safety compliance, substance use, and delays in care worsen injury outcomes. Strengthened enforcement of road safety laws, improved pre-hospital care, and targeted preventive interventions for young adults are urgently required. Road traffic injuries in urban India predominantly affect young males, especially two-wheeler users. High-speed driving, poor compliance with helmet and seatbelt use, substance consumption, and mobile phone use significantly increase the risk of severe injuries such as fractures and multiple injuries. Strengthening road safety enforcement, promoting protective behaviours, and improving pre-hospital trauma care are crucial to reducing the burden of road traffic injuries.</p>